MR. MICHAEL JAMES ANDERSON IDMT
NPI 1982846416
Military Health Care Provider - Independent Duty Medical Technicians in Bolling Afb, DC

Active since March 30, 2009
110 LUKE AVE, AFMSA/SG3P, BOLLING AFB, DC 20032(202) 767-4340(202) 767-5302 Get Directions Write a Review

NPPES record last updated: March 30, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Michael James Anderson Idmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL JAMES ANDERSON IDMT (NPI 1982846416) is an individual independent duty medical technicians provider in Bolling Afb, District Of Columbia and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1982846416
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameMR. MICHAEL JAMES ANDERSONCredential: IDMT
Location Address110 LUKE AVE, AFMSA/SG3PBolling Afb, DC 20032
Mailing Address110 Luke Ave, Afmsa/sg3pBolling Afb, DC 20032 · (202) 767-4340 · Fax (202) 767-5302
Fax(202) 767-5302
Sole ProprietorNo
Enumeration DateMarch 30, 2009
NPI 1982846416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
110 LUKE AVE, Bolling Afb, DC 20032

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
110 LUKE AVE
BOLLING AFB, MD 20032
Pharmacist
110 LUKE AVE, ROOM 400, HQ USAF SG8X
BOLLING AIR FORCE BASE, DC 20032
Preventive Medicine (Aerospace Medicine)
110 LUKE AVE, SUITE 400
BOLLING AIR FORCE BASE, DC 20032

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Anderson's NPI number?

The NPI number for Michael Anderson is 1982846416. It was assigned to this individual provider in the NPPES registry on March 30, 2009.

Where is Michael Anderson located?

Michael Anderson practices at 110 Luke Ave Afmsa/Sg3p, Bolling Afb, DC 20032. The listed phone number is (202) 767-4340.

What is Michael Anderson's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Michael Anderson was last updated on March 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.